Individual provider Active NPI

Alfredo Trinidad Perez

  • General Practice Dentistry
  • Norwalk, CA
National Provider Identifier
1720116635
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39063 Issued in CA
Practice address
13710 Studebaker Rd
Unit F 100
Norwalk, CA 90650-9065
Phone
(562) 933-3585
Fax
(562) 925-6552
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39063 CA Primary

Addresses

Primary practice location

13710 Studebaker Rd
Unit F 100
Norwalk, CA 90650-9065

Mailing address

3025 Artesia Blvd
Unit 157
Torrance, CA 90504-2600
Phone (310) 347-2078

Other names 1

  • Dr. Fred Trinidad Perez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39063CAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1720116635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 ARTESIA BLVD",
            "address_2": "UNIT 157",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042600",
            "telephone_number": "310-347-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 STUDEBAKER RD",
            "address_2": "UNIT F 100",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906509065",
            "telephone_number": "562-933-3585",
            "fax_number": "562-925-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ALFREDO",
        "middle_name": "TRINIDAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "PEREZ",
            "middle_name": "TRINIDAD",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.